Tag Archive for: connective tissue

The Facts on Collagen Supplementation

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After covering collagen basics on Tuesday, two questions remain. Are collagen supplements absorbed or are they digested just like any other protein? Second, does research support the use of collagen supplementation to improve skin quality? Let’s take a look.

Collagen Absorption

The data on collagen absorption is sparse. In almost every study, dipeptides or tripeptides are used; then the change in serum peptides over several hours after ingestion is measured. There’s enough data to suggest that the tripeptides are absorbed as a whole without being broken into individual amino acids.

What hasn’t been tested yet is whether protein ingestion from a meal may interfere with the digestion and absorption process.

Is Collagen Supplementation Effective?

Several review articles have summarized the absorption of collagen. Eleven studies with just over 800 subjects were included in the latest review; eight of those studies used collagen hydrolysate, 2.5 to 10 grams per day, for eight to 24 weeks. They tested whether the supplemental collagen benefitted people with pressure ulcers, dry skin, aging skin, and cellulite, with generally positive results. Two studies used collagen tripeptides, three grams per day for four to twelve weeks, with notable improvement in skin elasticity and hydration. Again, positive results.

I was disappointed to find no research on whether collagen may benefit other connective tissue such as tendons and ligaments. That may help the recovery from rotator cuff or Achilles tendon surgery, among many other conditions.

Practical Application

Based on the data, it appears that collagen tripeptides are absorbed intact to some degree, although I’m still concerned about the absorption in relation to meals. I’m already recommending that essential amino acids be taken at least 15 minutes or longer before a meal. But I think to help with absorption, take collagen tripeptides, usually collagen I and III, about 15 minutes before a meal if it contains protein or a couple of hours afterward. Giving the digestive system a head start may increase absorption. I put mine in my second cup of coffee because it has no flavor and the heat doesn’t impact the tripeptides.

The Bottom Line

Although the evidence is not overwhelming, there are positive results using collagen supplements to benefit your skin. Research shows that it will be absorbed in a form that can help the body make structural collagen for the skin. While the studies I cited used differing amounts of collagen for varying amounts of time, I would try 5 to 10 grams per day for at least 90 days to see results. And pay attention to your muscles and joints; you may find they benefit as well.

What are you prepared to do today?

        Dr. Chet

References:
1. Biol Pharm Bull. 2016;39(3):428-34.
2. StatPearls. Biochemistry, Collagen Synthesis. Marlyn Wu; Kelly Cronin; Jonathan S. Crane. 2021. PMID: 29939531
3. J Drugs Dermatol. 2019;18(1):9-16.

Are Collagen Supplements Effective?

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I spent the past weekend with a few thousand of my closest friends, some in person and others via live broadcast; that always means I get some good questions, including one about collagen I couldn’t answer.

A healthcare professional had told one attendee that collagen supplements were broken down into individual amino acids before being absorbed, as proteins are from any source, thus he was wasting his money buying collagen supplements. I decided that the answer could benefit everyone, so this week we’ll cover collagen basics.

Collagen is a protein and therefore is made up of amino acids. We can manufacture it, but just like other characteristics of aging, we make less as we get older. Collagen provides structure to all connective tissue such as skin, tendons, bones, and ligaments. We notice it most in our skin. Crepe skin? Smile lines around the eyes? Those come courtesy of reduced collagen. There are close to 30 types of collagen that have been discovered, but the most prevalent are types I–IV. Of that, over 90% are type I.

Collagen is made of repeating sequences of tripeptides or three amino acid blocks; they form three chains that twist to make a triple helix. The primary amino acid sequence of collagen is glycine-proline-X or glycine-X-hydroxyproline where X can be any of the other 17 amino acids. Glycine is the amino acid with the smallest structure; that allows the collagen triple helix to twist tightly and thus adds strength to the structure wherever it’s used, including the skin.

That’s the structure of collagen. On Saturday, we’ll answer the absorption question and look at how to use collagen most effectively. In tomorrow night’s Insider conference call, I’ll cover collagen more in depth as well as comment on the recent United States Preventive Services Taskforce on vitamin supplementation. If you become an Insider before 8 p.m. Eastern Time tomorrow, you can join me live to get your questions answered.

In the meantime, maybe you should just be proud of those smile lines—you’ve earned them, after all.

What are you prepared to do today?

        Dr. Chet

Reference: StatPearls. Biochemistry, Collagen Synthesis. Marlyn Wu; Kelly Cronin; Jonathan S. Crane. 2021. PMID: 29939531

How Flexible Are You?

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Living every day you’re alive requires flexibility. Range of motion in your joints is important to your ability to move, but it can be difficult. As the years add up, touching your toes with your knees locked, whether sitting on the floor or standing, lifting your arms over your head, or even lifting your arms to shoulder level can be a challenge.

Connective tissue tends to tighten as we age; it’s another case of use it or lose it. And when I say age, I mean from teen years on. Later, after we’ve torn ligaments, sprained ankles, been in accidents, and on and on, if we haven’t worked on our range of motion, we can end up restricted in our ability to move. The less we move, the more restricted we can get.

The obvious way to increase flexibility is to stretch. There are dozens if not hundreds of programs online, but I would recommend that you get an examination by a physical therapist who can identify your strengths and weaknesses and prepare a program just for you, taking into account your current level of flexibility and previous injuries. The older you are, the more strongly I recommend physical therapy, because if you stretch too far and damage connective tissue, you’ve just made your situation worse. Another option, especially if you’re younger or more fit, is to try yoga, which is an overall muscle-strengthening and stretching program. Take a class with an experienced instructor so you can get feedback on whether you’re doing the movements correctly.

Stretching is something you should do every day. There’s one area that needs special attention and that’s your core. I’ll cover that on Thursday.

What are you prepared to do today?

        Dr. Chet